Anders: Consistent, Compliant, Calculated
Anders is the brain behind mid-to-high complexity claim decisions. Anders references policy coverage limits, underwriting guidelines, prior claim history, and known business rules to calculate recommended payouts, set reserves, or escalate exceptions. Working in tandem your adjudication team, Anders ensures claims are adjudicated quickly, accurately, and consistently.
0%
Reduces adjudication time by up to 60%
0%
audit-trail transparency for every claim decision
Key Capabilities
Policy Limits & Calculation
References deductibles, co-pays, annual maxima, and sub-limits to compute recommended payouts.
Coverage Rule Updates
Automatically adapts to new policy wordings, product lines, and underwriting changes—no heavy coding required.
Risk-Based Escalation
Flags complex, high-value, or borderline claims for human acceptance.
Audit-Ready Trails
Logs each calculation step, ensuring transparent decisions that meet FCA and compliance standards.
Highlights at a Glance
What Anders Solves:
Manual coverage interpretation, repetitive policy checks, and inconsistent adjudications.
Return on Investment:
Quicker claim settlement, reduced human error, and robust compliance documentation.
Deployment:
Integrates with policy admin systems and claims management system; communicates to your adjucation team via chat.